Extractions or the pulling of teeth are needed for a few different reasons:

1. Decay is so extensive that the tooth is irreparable
2. A tooth shows signs of a vertical root fracture
3. Gum disease and periodontitis has severely broken down the tooth's support structure and where bone grafting is not indicated
4. When finances dictate a more affordable solution to a dental problem
5. When a tooth is growing in a direction that is unfavorable